| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | OXFORD HEALTH INSURANCE, INC | $101K | $0 | $101K | 3.48% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 2 AQUARIUM DRIVE, SUITE 200 CAMDEN, NJ 08103 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $8K | $6K | $14K | 4.76% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 2 AQUARIUM DRIVE, SUITE 200 CAMDEN, NJ 08103 | MUTUAL OF OMAHA INSURANCE COMPANY | $9K | $6K | $16K | 12.37% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 2 AQUARIUM DRIVE, SUITE 200 CAMDEN, NJ 08103 | COMPANION LIFE INSURANCE COMPANY | $10K | $4K | $13K | 14.91% |
| KRISTEN WALSH3 | 168 RUSSELL STREET, APT 1R BROOKLYN, NY 11222 | AFLAC | $2K | $173 | $2K | 7.34% |
| CHRISTINE M. MCCULLUGH3 Filed as: CHRISTINE WALSH | 255 WEST NECK ROAD HUNTINGTON, NY 11743 | AFLAC | $2K | $30 | $2K | 7.11% |
| KENNETH C MEIER CORP3 Filed as: KENNETH MEIER CORP AND OTHER AGENTS | 401 FRANKLIN AVENUE, SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $808 | $30 | $838 | 2.94% |
| JACQUES P DAVID CORPORATION3 | 125 JERICHO TURNPIKE, SUITE 201 JERICHO, NY 11753 | AFLAC | $620 | $50 | $670 | 2.35% |
| DOROTHY MEYER3 | 111 THOMAS STREET BRENTWOOD, NY 11717 | AFLAC | $210 | $0 | $210 | 0.74% |
| ROGER W BORSETT3 Filed as: ROGER BORSETT | 1999 OAKLAND AVENUE WANTAGH, NY 11793 | AFLAC | $208 | $0 | $208 | 0.73% |
| EDWIN O'CONNOR3 | PO BOX 166 MASSAPEQUA, NY 11758 | AFLAC | $135 | $0 | $135 | 0.47% |
| KIRSTEN E WALSH3 Filed as: KIRSTEN WALSH | 168 RUSSELL STREET, APT 1R BROOKLYN, NY 11222 | AFLAC | $1K | $126 | $1K | 8.07% |
| CHRISTINE M. MCCULLUGH3 Filed as: CHRISTINE WALSH | 255 WEST NECK ROAD HUNTINGTON, NY 11743 | AFLAC | $739 | $50 | $789 | 5.64% |
| JACQUES P DAVID CORPORATION3 | 125 JERICHO TURNPIKE, SUITE 201 JERICHO, NY 11753 | AFLAC | $280 | $50 | $330 | 2.36% |
| MICHAEL BURACK3 | 125 JERICHO TURNPIKE, SUITE 201 JERICHO, NY 11753 | AFLAC | $110 | $25 | $135 | 0.97% |
| PROFILE BENEFITS INC.3 Filed as: PROFILE COMM. CO. AND OTHER AGENTS | 320 SOUTH SERVICE ROAD MELVILLE, NY 11747 | AFLAC | $127 | $0 | $127 | 0.91% |
| ROGER W BORSETT3 Filed as: ROGER BORSETT | 1999 OAKLAND AVENUE WANTAGH, NY 11793 | AFLAC | $60 | $0 | $60 | 0.43% |
| EDWIN O'CONNOR3 | PO BOX 166 MASSAPEQUA, NY 11758 | AFLAC | $46 | $0 | $46 | 0.33% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 586 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 587 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | OXFORD HEALTH INSURANCE, INC | 443 | $2.9M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 409 | $299K |
| Life insurance | COMPANION LIFE INSURANCE COMPANY | 586 | $90K |
| Short-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 586 | $127K |
| Long-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 586 | $127K |
| Prescription drug | OXFORD HEALTH INSURANCE, INC | 443 | $2.9M |
| Other(3 contracts, 2 carriers) | MUTUAL OF OMAHA INSURANCE COMPANY | 586 | $169K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 586 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.